USRC QUEBEC STREET LLC NPI 1497479828

NPI Information

NPI: 1497479828
Provider Name: USRC QUEBEC STREET, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 45D2270620
Address: 3400 NW CENTRE DR
FORT WORTH, TX
ZIP 76135
Phone: (817) 210-6861

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NPI Details

USRC QUEBEC STREET, LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC QUEBEC STREET, LLC NPI is 1497479828. The provider is registered as an organization entity type.

The provider's business location address is:

3400 NW CENTRE DR
FORT WORTH, TX
ZIP 76135-629
Phone: (817) 210-6861
Fax: (817) 210-6865

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman/president and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 45D2270620 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2022 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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